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Vitreoretinal Clash

Edited Film Rui Carvalho, Nuno Gomes, Filipe Isidro, Natalia Ferreira, Portugal The authors present different surgical techniques during vitrectomy in several complicated or unusual cases (severe proliferative diabetic retinopathy, extraction of subretinal membranes, vitreoretinal proliferation, unknown double IOL dislocation into the vitreous cavity, among others). Sometimes the surgeon might hesitate and think: what should I do now?...

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Effect of Oral Citicoline in Macular Ganglion Cell Layer Thickness, After Epiretinal Membrane Surgery with Internal Limiting Membrane Peeling

Effect of Oral Citicoline in Macular Ganglion Cell Layer (GCL) Thickness, After Epiretinal Membrane (ERM) Surgery with Internal Limiting Membrane (ILM) Peeling SCIENTIFIC POSTER Effect of Oral Citicoline in Macular Ganglion Cell Layer Thickness, After Epiretinal Membrane Surgery with Internal Limiting Membrane Peeling by Vania Lages ABSTRACT Introduction: Beneficial effects of oral cytidine-5’-diphosphocholine (citicoline) have been...

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Spider IOL

Spider IOL EDITED FILM ABSTRACT The authors aim to describe a surgical technique for management of eyes without adequate capsular support, by implantation of a four-haptic hydrophilic acrylic foldable intraocular lens (IOL), Bausch & Lomb AKREOS Adapt AO® with a transscleral knotless zigzag suture. Surgical technique consists in small gauge pars plana vitrectomy, small corneal incision (between 2,0 mm and 2,4 mm) for iOL...

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Anterior Segment Complications – Multiple Solutions

Anterior Segment Complications – Multiple Solutions EDITED FILM ABSTRACT The authors present the posterior segment approach for solving anterior segment complications in cataract surgery. From retro-pupillary iris-claw IOLs, to modified glued IOL technique or improvised scleral suspension with normal “in-the-bag” IOLs. The authors show their tricks and also the pros and cons for each technique. CONTACT...

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Limitless Internal Limiting Membrane

Internal Limiting Membrane (ILM) peeling is actually a common surgical procedure performed in different retinal disorders like epiretinal membrane, macular edema of various etiology, foveosquisis, macular hole or sub-ILM hemorrage. Current treatment of macular hole is vitrectomy associated to complete IML peeling or inverted IML flap technique. However, macular hole closure failure can occur in few cases after standard procedure. In the...

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Open Globe Injuries – Surgical Approach to Ruptures

Rupture is the most severe form of open globe injuries after ocular trauma, not only related to the tissue pathologies that occur at the time of injury but also because of the post-injury destruction associated with the body’s normal healing response process. The diagnosis is usually straightforward because the wound is visible, often even to the naked eye. Still, treating it is a big challenge and should be dealt with by an expert...

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Management of Maculopathy Associated with Optic Pit and Coloboma of teh Optic Disc

SCIENTIFIC POSTER_Carlos Menezes Purpose: To report our outcomes in the management of optic pit disc and optic nerve coloboma associated maculopathy. Methods: We report 3 cases of optic disc pits and a rare case of temporal optic disc coloboma followed in consult in our hospital. Three of them developed macular detachment and of these, two were proposed to pars plana vitrectomy with internal limiting membrane peeling, peripapillary laser...

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Vitrectomy in Diabetic Macular Edema

For many years, pars plana vitrectomy with posterior hyaloid detachment and peeling of internal limiting membrane (ILM) has been considered a treatment option for diabetic macular edema by retina surgeons worldwide. The 2012 large scale study by EVRS surgeons showed that the surgical option alone resulted, by far, in the most significant visual acuity improvement. However the surgical treatment has, so far, failed to gain widespread...

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Vitreous Opacities & Retinal Amyloid Microangiopathy in Familial Amyloidotic Polyneuropathy

Familial amyloid polyneuropathy (FAP) is an inherited disorder with autosomal dominant transmission, characterized by systemic extracellular accumulation of amyloid fibrils. The peripheral nervous system and the heart are the main target organs, but the eye may also be involved. The most common type of FAP is related to transthyretin (TTR) and Portugal is an endemic country for FAP TTR Val30Met.TTR is mainly produced by the liver, but a...

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Inverted ILM Flap in MH with Poor Prognosis

Advantages: Inverted ILM flap technique can achieve good anatomical and functional success in large, long standing macular holes or in non idiopathic macular holes (as macular holes related to myopia, post vitrectomy for retinal detachment or post ocular trauma). Methods: Since July 2009 inverted ILM flap technique has been performed in macular hole with poor anatomical prognosis. ILM is incompletly peeled around the border of the hole...

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Developing an Acessory Light Source for Pars Plana Vitrectomy: The Technique

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Advantages: To describe our technique of creating an accessory light source to perform pars plana vitrectomy using a light pipe and an infusion line from two different manufacturing companies (Alcon® and B&L®). Methods: We explain step-by-step with a video how to create this device. Effectiveness / Safety: This procedure allows...

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